title: Adolescents' and parents' agreement on posttraumatic stress disorder symptoms and functioning after adolescent injury.
abstract: Few investigations have simultaneously assessed concordance between youth and parent ratings of posttraumatic stress disorder (PTSD) symptoms and functioning. Randomly sampled adolescent injury survivors ages 12-18 and their parents were assessed on the inpatient ward and again at 2, 5, and 12-months postinjury (N = 99). Adolescent PTSD symptoms and functioning were rated by both adolescents and parents. Parent PTSD was also assessed; 27% of parents endorsed symptoms consistent with a diagnosis of PTSD over the course of the year after adolescent injury. The PTSD positive parents demonstrated significantly greater discordance in ratings of adolescent PTSD symptoms, family cohesion, and mental health functioning. These findings suggest caution in clinical and policy applications of parental ratings of adolescent symptomatic and functional outcomes after injury.
authors.affiliation: Department of Psychiatry & Behavioral Sciences, Harborview Medical Center, University of Washington School of Medicine, Seattle, WA 98104-2499, USA.
authors.forename: Angela
authors.initials: A
authors.lastname: Ghesquiere
authors.forename: Ming-Yu
authors.initials: MY
authors.lastname: Fan
authors.forename: Lucy
authors.initials: L
authors.lastname: Berliner
authors.forename: Frederick P
authors.initials: FP
authors.lastname: Rivara
authors.forename: Gregory J
authors.initials: GJ
authors.lastname: Jurkovich
authors.forename: Joan
authors.initials: J
authors.lastname: Russo
authors.forename: Wayne
authors.initials: W
authors.lastname: Katon
authors.forename: Douglas F
authors.initials: DF
authors.lastname: Zatzick
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D006801:Humans; D008137:Longitudinal Studies; D010290:Parents; D015203:Reproducibility of Results; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000523:psychology*; D014861:Washington; D014947:Wounds and Injuries / Q000523:psychology*